An expert panel is urging that U.S. healthcare abandon fee-for-service payments and transition to a new system by the end of the decade in a bid to slow cost growth and improve outcomes. In a report out Monday, the National Commission on Physician Payment Reform (NCPPR) also recommended repealing Medicare's sustainable growth rate (SGR) formula and paying for the move by cutting overutilization of Medicare services. The guidance was part of 12 recommendations endorsed by the panel, which was convened last year by the Society of General Internal Medicine.